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Cushing's Syndrome 

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  1. Open Access 22-04-2024 | Cushing's Syndrome | Online First

    No requirement of perioperative glucocorticoid replacement in patients with endogenous Cushing’s syndrome – a pilot study

    Endogenous Cushing’s syndrome (CS) is a rare endocrine disorder with an estimated annual incidence between 1.8 and 3.2 cases per million individuals [ 1 , 2 ]. It is characterized by an excessive cortisol synthesis caused by either exaggerated …

  2. Open Access 27-03-2024 | Cushing's Syndrome | Online First

    Development of diagnostic algorithm for Cushing’s syndrome: a tertiary centre experience

    Endogenous Cushing Syndrome (CS) refers to pathologic hypercortisolism and is associated with significant morbidity, mortality, and reduction in quality of life [ 1 – 4 ]. The diagnosis of CS can often be challenging [ 5 ] as it is typically …

  3. Open Access 01-12-2024 | Cushing's Syndrome | OriginalPaper

    The diagnostic yield of inferior petrosal sinus sampling in Cushing syndrome in the era of ovine CRH shortage

    Inferior petrosal sinus sampling (IPSS) is an established method to identify the correct source of ACTH-dependent Cushing’s syndrome (CS) in patients with inconclusive imaging [ 14 , 20 ]. Thereby, ovine corticotropin-releasing hormone (oCRH) …

  4. Open Access 08-01-2024 | Cushing's Syndrome | ReviewPaper

    A medical chart audit to assess endocrinologist perceptions of the burden of endogenous Cushing’s syndrome

    Endogenous Cushing’s syndrome (CS) is a rare, debilitating disorder caused by chronic overproduction of cortisol [ 1 – 3 ]. CS has an estimated incidence of 0.7 to 2.4 cases per million per year, with a majority of cases (~ 70%) occurring in women …

  5. 21-12-2023 | Cushing's Syndrome | ReviewPaper

    Cardiac disease in Cushing’s syndrome. Emphasis on the role of cardiovascular magnetic resonance imaging

    Cushing’s Syndrome (CS) is clinically defined as the symptoms and signs associated with long-term glucocorticoid (GC) excess of either endogenous or exogenous origin. Exogenous CS is caused by intake of oral, parenteral, inhaled or topical …

  6. Open Access 08-09-2023 | Cushing's Syndrome | OriginalPaper

    Circulating myomiRNAs as biomarkers in patients with Cushing’s syndrome

    Cushing’s syndrome (CS) is a rare endocrine disorder caused by chronic exposure to the excessive endogenous cortisol released by the adrenal glands, or by the prolonged exposure to exogenous synthetic glucocorticoids (GCs) for medical treatment [ 1 …]. CS can be classified in ACTH-dependent and ACTH-independent forms; the ACTH-dependent forms are due to the presence of an ACTH-secreting pituitary tumour (70% of cases), named Cushing’s disease (CD), or an ACTH-secreting or corticotropin-releasing hormone-secreting ectopic tumour (10% of cases), named ectopic CS, whereas the ACTH-independent forms are due to the presence of a cortisol-secreting adrenal lesion, including bilateral adrenal hyperplasia or dysplasia, adenoma or carcinoma (20% of cases), named adrenal CS [

  7. 02-02-2024 | Cushing's Syndrome | Online First

    Epicardial and pericoronary adipose tissue and coronary plaque burden in patients with Cushing’s syndrome: a propensity score-matched study

    Cushing’s syndrome (CS) is caused by prolonged exposure to excessive exogenous or endogenous glucocorticoids and exogenous CS is more prevalent in clinics [ 1 ]. Increased visceral adiposity, systemic arterial hypertension, insulin resistance, and …

  8. 30-08-2023 | Cushing's Syndrome | OriginalPaper

    Cardiovascular evaluation and endothelial dysfunction in Cushing syndrome following remission: a prospective study

    Cushing syndrome (CS) is characterized by multiple signs and symptoms, and multisystemic complications caused by chronic exposure to high concentrations of exogenous or endogenous glucocorticoids. Cardiovascular diseases are the leading cause of …

  9. Open Access 29-11-2023 | Cushing's Syndrome | Case Study

    Bilateral co-secretory lesions presenting with coexisting Cushing syndrome and primary aldosteronism: a case report

    An unusual case of co-secretory tumors in the right adrenal gland, a cortisol-secreting adenoma and an aldosterone-producing nodule in the left adrenal gland, and aldosterone-producing micronodules in both adrenal glands.

  10. 12-10-2023 | Cushing's Syndrome | OriginalPaper

    The mystery of transient pregnancy-induced cushing’s syndrome: a case report and literature review highlighting GNAS somatic mutations and LHCGR overexpression

    Cushing’s syndrome (CS) is a disorder caused by excessive exposure to glucocorticoids, due either to exogenous drug use or to endogenous and autologous secretion [ 1 ]. Transient pregnancy-induced CS is rare, only presenting with symptoms during …

  11. Open Access 01-12-2023 | Cushing's Syndrome | OriginalPaper

    Severe osteoporosis in a young man with bilateral Cushing’s syndrome: a case report

    Cushing’s syndrome may be exogenous or endogenous and, in this case, can be ACTH-dependent or independent. In the case reported, there was an independent, symptomatic ACTH hypercortisolism manifested by typical phenotypic changes, severe secondary …

  12. 21-10-2023 | Adrenalectomy | BriefCommunication

    Laparoscopic transabdominal anterior bilateral adrenalectomy (La-TABA): an alternative approach for severe Cushing’s syndrome

    Severe uncontrolled Cushing’s syndrome (CS) is an acute life-threatening condition. As it is often not responsive to medical therapy, emergency bilateral adrenalectomy (BA) may present the only therapeutic option. Moreover, multiple bone …

  13. Open Access 03-07-2023 | Disease of the Adrenal Glands | Review

    Preventive strategies for hypercoagulation in Cushing’s syndrome: when and how

    Patients with Cushing’s syndrome need hypocoagulation, particularly in the period after transsphenoidal surgery or adrenalectomy, especially if their risk of VTEs is raised.

  14. Open Access 14-06-2023 | Cushing's Syndrome | OriginalPaper

    Erythropoiesis in Cushing syndrome: sex-related and subtype-specific differences. Results from a monocentric study

    Endogenous Cushing syndrome (CS) is a rare condition resulting from an adrenocorticotropin (ACTH)-dependent or ACTH-independent hypercortisolemia. Apart from well-known clinical features such as hypertension, osteoporosis, and muscle atrophy [ 1 ] …

  15. Open Access 01-12-2023 | Cushing's Syndrome | OriginalPaper

    Mifepristone induced liver injury in a patient with Cushing syndrome: a case report and review of the literature

    Mifepristone, also known as RU-486, is an anti-progestational steroid administered in a single 600 mg dose in conjunction with misoprostol that is used to induce abortion in up to 10 weeks of gestation [ 1 ]. Mifepristone is also approved and …

  16. Open Access 01-12-2023 | Cushing's Syndrome | OriginalPaper

    Iatrogenic cushing’s syndrome post intralesional triamcinolone acetonide in oral submucous fibrosis: 2 case reports

    Oral Submucous Fibrosis (OSMF) is defined by the World Health Organization (WHO) as a slowly progressive disease characterized by the formation of fibrous bands in the oral mucosa. These bands eventually cause a significant limitation in mouth …

  17. Open Access 05-07-2023 | Cushing's Syndrome | OriginalPaper

    Renal neuroendocrine tumors: clinical and molecular pathology with an emphasis on frequent association with ectopic Cushing syndrome

    Renal neuroendocrine tumors (RenNETs) are rare malignancies with largely unknown biology, hormone expression, and genetic abnormalities. This study aims to improve our understanding of the RenNETs with emphasis of functional, hormonal, and genetic …

  18. Open Access 19-04-2023 | Cushing's Syndrome | OriginalPaper

    Unmet needs on the current medical management of Cushing’s syndrome: results from a Delphi panel of Italian endocrinologists

    Cushing’s syndrome (CS) is a rare clinical condition caused by excessive cortisol secretion from the adrenal glands [ 1 ]. CS has an incidence of 1.5/1,000,000 inhabitants per year and a prevalence of nearly 60/1,000,000 inhabitants in Europe [ 2 …

  19. 01-01-2023 | Cushing's Syndrome | OriginalPaper

    White blood cell count: a valuable tool for suspecting Cushing’s syndrome

    Endogenous Cushing’s syndrome (CS) originates from sustained hypercortisolism, which is usually ACTH-dependent due to a pituitary adenoma. It leads to short and long-term morbidities [ 1 ], with an estimated five-year mortality rate of …

  20. Open Access 01-12-2023 | Cushing's Syndrome | OriginalPaper

    Bilateral inferior petrosal sinus sampling: validity, diagnostic accuracy in lateralization of pituitary microadenoma, and treatment in eleven patients with Cushing’s syndrome – a single-center retrospective cohort study

    All disorders with manifestations associated with glucocorticoid excess are called Cushing’s syndrome. Exogenous corticosteroids cause most CS cases, and endogenous CS cases are rare [ 1 , 2 ].

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